Dr Gordon William Jones Sr, MD is a
Family Medicine physician based in Broaddus, Texas. Dr Gordon William Jones Sr is licensed to practice in Texas (license number C5740) and his current practice location is 1749 Old Fm 705, Broaddus, Texas. He can be reached at his office (for appointments etc.) via phone at
(409) 584-2282.
NPI number for Dr Gordon William Jones Sr is 1417210212 and his current mailing address is 1749 Old Fm 705, Broaddus, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417210212.
Physician's Profile
| Full Name | Dr Gordon William Jones Sr |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1749 Old Fm 705, Broaddus, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417210212
- Provider Enumeration Date: 06/18/2012
- Last Update Date: 03/30/2024
Medical Identifiers
Medical identifiers for Dr Gordon William Jones Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417210212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | C5740 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gordon William Jones Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gordon William Jones Sr, MD
1749 Old Fm 705,
Broaddus, TX 75929-1749
Ph: (409) 584-2282 | Dr Gordon William Jones Sr, MD
1749 Old Fm 705,
Broaddus, TX 75929-1749
Ph: (409) 584-2282 |
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